Dr Nicholas Wall, DC is a
Chiropractor based in Eastman, Wisconsin. Dr Nicholas Wall is licensed to practice in Wisconsin (license number 4839-12) and his current practice location is
26343 Bernards Ln, Eastman, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 412-3722.
NPI number for Dr Nicholas Wall is 1548530066 and his current mailing address is 26343 Bernards Ln, Eastman, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548530066.
Healthcare Provider's Profile
| Full Name | Dr Nicholas Wall |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 26343 Bernards Ln, Eastman, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548530066
- Provider Enumeration Date: 01/02/2012
- Last Update Date: 11/09/2013
Medical Identifiers
Medical identifiers for Dr Nicholas Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548530066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 4839-12 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Wall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Nicholas Wall, DC
26343 Bernards Ln,
Eastman, WI 54626-8158
Ph: (608) 412-3722 | Dr Nicholas Wall, DC
26343 Bernards Ln,
Eastman, WI 54626-8158
Ph: (608) 412-3722 |
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